Nagy Edit, Lei Yang, Martínez-Martínez Eduardo, Body Simon C, Schlotter Florian, Creager Michael, Assmann Alexander, Khabbaz Kamal, Libby Peter, Hansson Göran K, Aikawa Elena
Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; Department of Medicine, Karolinska Institute, Stockholm, Sweden; Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden.
Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Am J Pathol. 2017 Jun;187(6):1413-1425. doi: 10.1016/j.ajpath.2017.02.012. Epub 2017 Apr 19.
In calcific aortic valve disease (CAVD), activated T lymphocytes localize with osteoclast regions; however, the functional consequences of this association remain unknown. We hypothesized that CD8 T cells modulate calcification in CAVD. CAVD valves (n = 52) dissected into noncalcified and calcified portions were subjected to mRNA extraction, real-time quantitative PCR, enzyme-linked immunosorbent assay, and immunohistochemical analyses. Compared with noncalcified portions, calcified regions exhibited elevated transcripts for CD8, interferon (IFN)-γ, CXCL9, Perforin 1, Granzyme B, and heat shock protein 60. Osteoclast-associated receptor activator of NK-κB ligand (RANKL), tartrate-resistant acid phosphatase (TRAP), and osteoclast-associated receptor increased significantly. The stimulation of tissue with phorbol-12-myristate-13-acetate and ionomycin, recapitulating CAVD microenvironment, resulted in IFN-γ release. Real-time quantitative PCR detected mRNAs for CD8 T-cell activation (Perforin 1, Granzyme B). In stimulated versus unstimulated organoid cultures, elevated IFN-γ reduced the mRNAs encoding for RANKL, TRAP, and Cathepsin K. Molecular imaging showed increased calcium signal intensity in stimulated versus unstimulated parts. CD14 monocytes treated either with recombinant human IFN-γ or with conditioned media-derived IFN-γ exhibited low levels of Cathepsin K, TRAP, RANK, and tumor necrosis factor receptor-associated factor 6 mRNAs, whereas concentrations of the T-cell co-activators CD80 and CD86 increased in parallel with reduced osteoclast resorptive function, effects abrogated by neutralizing anti-IFN-γ antibodies. CD8 cell-derived IFN-γ suppresses osteoclast function and may thus favor calcification in CAVD.
在钙化性主动脉瓣疾病(CAVD)中,活化的T淋巴细胞定位于破骨细胞区域;然而,这种关联的功能后果仍不清楚。我们假设CD8 T细胞调节CAVD中的钙化。将CAVD瓣膜(n = 52)分为非钙化部分和钙化部分,进行mRNA提取、实时定量PCR、酶联免疫吸附测定和免疫组织化学分析。与非钙化部分相比,钙化区域的CD8、干扰素(IFN)-γ、CXCL9、穿孔素1、颗粒酶B和热休克蛋白60的转录本升高。破骨细胞相关的NK-κB配体受体激活剂(RANKL)、抗酒石酸酸性磷酸酶(TRAP)和破骨细胞相关受体显著增加。用佛波醇-12-肉豆蔻酸酯-13-乙酸酯和离子霉素刺激组织,模拟CAVD微环境,导致IFN-γ释放。实时定量PCR检测到CD8 T细胞活化的mRNA(穿孔素1、颗粒酶B)。在刺激与未刺激的类器官培养中,升高的IFN-γ降低了编码RANKL、TRAP和组织蛋白酶K的mRNA。分子成像显示,刺激部分与未刺激部分相比,钙信号强度增加。用重组人IFN-γ或条件培养基衍生的IFN-γ处理的CD14单核细胞表现出低水平的组织蛋白酶K、TRAP、RANK和肿瘤坏死因子受体相关因子6 mRNA,而T细胞共激活剂CD80和CD86的浓度随着破骨细胞吸收功能的降低而平行增加,中和抗IFN-γ抗体可消除这些作用。CD8细胞衍生的IFN-γ抑制破骨细胞功能,因此可能促进CAVD中的钙化。
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